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Climate Security and Sustainable Development TEMPLATE

TRANSITION REQUEST FORM - POA

PUBLICATION DATE 1/04/2021 VERSION 1.0

RELATED SUPPORT

- TEMPLATE GUIDE Key Project Information & PoA Design Document v.1.1

CONTACT DETAILS:

THE GOLD STANDARD FOUNDATION Chemin de Balexert 7-9

1219 Châtelaine

International Environment House 2 Geneva, Switzerland

Tel: +41 22 788 70 80

Email: [email protected]

Summary:

The PoA transitioning from CDM or other Standards to Gold Standard for Global Goals (GS4GG) shall submit the transition request form and PoA - DD (this

document). The Transition Request Form is also to be completed for PoA that are already registered with GS4GG for CER labelling and seek to move to GSVER stream to issue Gold Standard VERs.

This document contains the following Sections Section - Transition Request Form

TRF.1 ELIGIBILITY CHECK FOR TRANSITION

TRF.2 TRANSITION PROJECT INFORMATION

TRF.3 TRANSITION CHECKLIST

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Key Project Information

Section – Programme of Activity design document (PoA -DD) SECTION A. – General description of PoA

SECTION B - Management System and Inclusion Criteria SECTION C – Demonstration of additionality

SECTION D. – Duration of PoA

SECTION E – Safeguarding principles assessment SECTION F - Outcome of Stakeholder Consultations

0 – Contact information of coordinating/managing entity and responsible person(s)/

entity(ies)

The following table summarises how different sections of this document shall be filled to facilitate request for transition from other standard to GS4GG.

Section Required for How to complete the section Transition Request Form

TRF.1 Eligibility

check for transition All PoAs Answer the assessment questions and provide supporting information as needed

TRF.2 Transition

project information All PoAs Provide PoA information pertaining to the standard, the project is transitioning from (e.g. CDM)

TFR.3 Transition

checklist All PoAs

Answer the assessment questions and provide

supporting information in the section in the PoA - DD section as needed

PoA - DD Key project

information All PoAs Include PoA details pertaining to GS4GG

Section A to F All PoAs

Provide information as needed. Any section/subsections - that requires information/justification or

additional information as per transition checklist, AND

- that involves update/revision to the information provided for registration with other standards.

In such cases, the project shall copy and paste

the information from registered PoA - DD (other

standard) and mark the additional information

in track changes.

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SECTION – TRANSITION REQUEST FORM TRF.1 ELIGIBILITY CHECK FOR TRANSITION

To be completed for all PoAs seeking transition to GS4GG from other standards.

A registered PoA, irrespective of its start date may transition to GS4GG. The transition eligibility requirements apply to individual CPAs (Annex B, GHG Emissions Reductions and Sequestration Product Requirements) .

The registered GS CDM POA “Sichuan Rural Poor-Household Biogas Development Programme” (POA2898, GS1239) has completed GS4GG transition approval in Jan 2018. And has successfully renewed under GS CDM and the 2nd POA crediting period is 11 Apr 2019 – 10 Apr 2026.

Now, the POA would like to transition to GS4GG to issue GS VERs.

As per the Annex B, GHG emissions reduction and sequestration product requirements,

• The POA and its CPAs involve the installation and operation of household biogas digesters for household cooking purposes in Sichuan Province, the project type is eligible for issuance of GS VERs

• The POA has been registered under GS CDM and has GS4GG transition approval as well;

• The POA has successfully renewed under GS CDM and the 2nd POA crediting period is 11 Apr 2019 – 10 Apr 2026;

• The POA and its CPAs already registered with GS4GG for CER labelling --

seeking to transition to GS4GG to issue GSVERs, are not required to deregister from CDM

• The POA and its CPAs are not required to carry out additional assessment for demonstration of additionality;

• The CPAs in the POA employs CDM methodologies AMS III.R and AMS I.I;

• The scale of POA and its CPAs are not changed;

• No project design change is applied.

TRF.2 TRANSITION POA INFORMATION

CME shall provide PoA information (in grey rows), pertaining to the standard, the project is transitioning from (e.g. CDM) in the table below. In case of standards other than CDM PoAs/CPAs refers to equivalent project scales/types. For example – in case of VCS, Grouped project are treated as PoA and project instances as CPAs. In such cases, the CME/PD should use the most relevant set of information to complete the table below.

Name of the original standard

☒ CDM

☐ Other (Add the standard name here)

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PoA status with

original standard

The current status of PoA with CDM/other standard at the time of submission of this form.

☒ Active (registration status is valid)

☐ Withdrawn (deregistered)

☐ Provisional (awaiting guidance from the CMP at CMP 16, CDM PoA only)

CDM/ other standard reference ID

The reference number/ID of PoA with CDM/other standard.

CDM POA 2898

PoA reference weblink

The weblink of the PoA webpage of CDM/other standard.

https://cdm.unfccc.int/ProgrammeOfActivities/poa_db/5BGM96VOK3A TN4JPR70XSWIQ8CZH2F/view?cp=1

PoA title

The title of the PoA used for registration with CDM/other standard.

Sichuan Rural Poor-Household Biogas Development Programme New PoA title (if

applicable)

The title of the PoA if it has been changed for registering with Gold Standard.

(Follow GS4GG requirements Section 5, PoA requirements)

NA

Activity scale

PoA scale registered with CDM/other standard

Small scale

Methodology used

Methodology title and the version number applied for registration with CDM /other standard

AMS-I.I.– Biogas/biomass thermal applications for households/small users (version 04) (EB68, Annex 25);

AMS-III.R.– Methane recovery in agricultural activities at household/small farm level (version 02) (EB59, Annex 4) Registration date

The PoA registration date with CDM/other standard.

11/04/2012

PoA renewal period

The PoA renewal period with CDM/other standard.

Start date: 11/04/2019 End date: 10/04/2026

PoA duration

The PoA start date and end date with CDM/other standard.

Start date: 10/12/2010 End date: 09/12/2038 Declaration

Click on the tick box to confirm.

The Coordinating/Managing Entity hereby acknowledges that project developer;

☒ Option 1 - has included information in this document that has not been validated/verified as part of CDM PoA -DD OR

☐ Option 2 - has copied all validated information as it appears in the

original and then used tracked changes to highlight any information

that not been validated/or has changed - Note if option 2 is selected

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the project developer shall fill all sections in the PoA -DD template of this document.

The Coordinating/Managing Entity hereby acknowledges that project developer;

☒ is aware that for a given vintage, a registered Gold Standard PoA and its CPAs can request the issuance of the emission reductions under only one standard/certification scheme. (applicable to all PoAs).

☒ is aware that PoA and its CPAs that transition to GS4GG shall demonstrate Ongoing Financial Need at the time of renewal of their crediting period following applicable GS4GG requirements. (applicable to all PoAs).

☒ confirms that the Coordinating/Managing Entity will make a declaration, in writing, in the monitoring report submitted to Gold Standard that (applicable to CDM project)

- CPAs will/has not issue both a CER/other compliance units under Paris Agreement and a GSVER for the same vintage.

- CME agrees to comply with all future UNFCCC COP/CMP decisions

1

including adjustment to GWP values

Coordinating/Managing Entity / authorised signatory

Name and designation of CME/authorised signatory

Chengdu Oasis Science & Technology Co., Ltd, Hai Wang

TRF.3 TRANSITION CHECKLIST

Coordinating/Managing Entity shall answer all assessment questions listed below and provide additional information/justification in the PoA-DD section, where required. Please note that the checklist is based on the GHG Emissions Reductions and Sequestration Product Requirements.

The checklist also provides relevant requirements applicable to PoA transitioning to GS4GG for easy referencing. The CME shall refer to relevant GS4GG documents, as applicable, for further details. It is recommended that CME refers to Guidelines in the table below for more

information on the requirements and flexibilities provided. This document (in word) shall be submitted to SustainCERT along with other required documents for preliminary review as listed below –

- Cover Letter

- Terms and Conditions

- Official Development Assistance declaration - PoA design consultation report

- PoA Design Document (PoA-PDD) final version (CDM/other standard)

1 CDM clarification available on this topic as on date can be referred to here.

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- Real case CPA-DD registered with CDM/other standard

- Validation report submitted to CDM/other standard

TRANSITION PATHWAY

1.1 | Option 1: Is PoA seeking registration with GS4GG to issue GSCERs while maintaining the CDM registration? (Ref: GHG Product Requirements)

Note – PoA must be registered with GS4GG to transition all or selected registered CPAs to GS4GG to issue GSCERs.

Yes

☐ No

1.2 | Option 2: Is PoA seeking registration with GS4GG to issue GSVERs only and/or conversion of issued CERs to GSVERs? (Ref: Annex B, GHG Product Requirements).

Note – PoA and CPAs must be registered with GS4GG to convert issued CERs to GSVERs. CME may transition all or selected registered CPAs to GS4GGG to issue GSVERs.

☐ Yes

☐ No

1.3 | Option 3: Is PoA (for example – Grouped project in case of VCS) seeking registration with GS4GG to issue GSVERs only and/or conversion of emission reduction to GSVERs issued by standard other than CDM?

(Ref: Annex B, GHG Product Requirements)

Note –The PoA and CPAs must be registered with GS4GG to convert issued emissions reductions to GSVERs.

☐ Yes

☐ No

Requirement:

All PoA/CPAs submitting request for transition on or after 1/1/2021 must demonstrate compliance with requirements stated in Annex B, GHG Product Requirements.

The PoA/CPAs following option 1 above;

- may seek registration under GS4GG based on provisional CDM EB decision

- may seek issuance of GSVERs in exchange of provisional CERs based on CDM EB decision for transition CPAs but must transfer issued CERs to the Gold Standard Swiss CDM Registry

Account. If there are any implications for issued volume or project eligibility due to CMP decision regarding GWP, additionality or any other decision, the PD must address these issues, as

applicable in consultation with SutainCERT/GS.

The PoA/CPAs transitioning to GS4GG following option 2 above, - may convert issued CERs to GSVERs for the transition CPAs

- are not required to deregister from CDM but shall not claim emission reductions under both GS4GG and CDM for the same vintage

The PoA/CPAs transitioning to GS4GG following option 3 above, - may convert issued emission reductions unit to GSVERs - may issue GSVERs

- shall deregister project from other standard before registration with GS4GG Guidelines:

PoA/CPAs already undergoing design certification for CER labelling can continue with their existing process. SustainCERT shall be notified of the intention to switch to GSVER stream, at the earliest possible opportunity.

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PoA/CPAs already certified for CER labelling can switch to GSVER stream by completing this form and notifying SustainCERT. Such project may leave the PoA-DD section blank as this information has been captured in GS4GG PDD version submitted earlier.

TRANSITION APPROVAL PROCEDURE

1.1 | Is the PoA and all real case CPAs undergoing a preliminary review by sustainCERT, validation by VVB and design review by SustainCERT?

☐ Yes

☐ No

1.2 | Is the PoA and all real case CPAs undergoing a combined preliminary

review, inclusion, and design review by SustainCERT?

☐ Yes

☐ No

1.3 | Is the PoA and all real case CPAs undergoing preliminary review by

SustainCERT, combined inclusion & verification by VVB, followed by combined design and performance review by SustainCERT?

☐ Yes

☐ No

Requirement:

The PoA certification under GS4GG involves following key steps. Refer to Section 12. Project cycle Programme of Activity Requirements for details.

Preliminary review - Preliminary Review of the PoA is conducted once at the time of first submission to Gold Standard. It involves desk review of the Key Project Information and PoA-DD by SustainCERT.

The PoA can only be listed once a preliminary review of PoA and each CPA submitted with PoA has been completed.

Design certification (validation + design review) - Design certification involves validation by VVB and design review by SustainCERT. With successful design certification the PoA will obtain ‘Certified design’ status that is equivalent to registration under CDM and other standard. The real case CPA-DD is required with PoA-DD for design review as per Programme of Activity Requirements.

Performance certification (verification + performance review) - Performance certification involves verification by VVB and performance review by SustainCERT. The positive conclusion of the Performance Review period shall result in Gold Standard ‘Certified Project status’ and CPAs can issue GSVERs. The CME may opt for combined Design Certification, conducting both the first Verification and Performance Review under GS4GG at the same time.

CPAs/VPAs Inclusion – Once a real case CPA/VPA fully design certified, the CME may include CPAs/VPAs applying same technology measures following a simplified inclusion process. It involves, VVB’s compliance check followed by SustainCERT design review (two weeks) or if selected for spot - check three week design review.

To minimise disruption and keep the transition review time and costs minimum, the PoA is provided with flexibilities as summarised in the table below;

Certification

outcome Certification stage

Option 1 Option 2* Option 3

Normal certification pathway

Combined

Preliminary review + Validation + Design review

Combined validation + verification followed by combined design + performance review PoA+ REAL Case CPA

Listing Preliminary review SustainCERT

SustainCERT

SustainCERT Certified Design

= Registration

Validation VVB VVB

Design review SustainCERT SustainCERT

Certified project

= Issuance

Verification VVB VVB VVB

Performance review SustainCERT SustainCERT SustainCERT CPA/VPA inclusion

Compliance check VVB SustainCERT VVB

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inclusion

Design review SustainCERT SustainCERT

Verification VVB VVB VVB

Performance review SustainCERT SustainCERT SustainCERT

For option 1, a validation/inclusion site visit by VVB is not required for CPAs proposed for inclusion as long as the VVB conducted a site visit as part of validation/verification in last three years (from time of first submission for preliminary review) and new/updated information can be audited based on desk review and/or using remote audit approaches.

For Option 2, SustainCERT conducts PoA/CPAs design elements desk based audit and approve PoA/CPAs transition, without VVB’s opinion. Note that this option will involve additional review fee levied by SustainCERT. The project developer shall confirm the applicable fee and timelines with SustainCERT ([email protected]) before submitting the request for transition.

If transition PoA is applying a new/latest version of the methodology which requires full audit but VVB, option 2 cannot be applied.

CMEs may also directly include VPAs/CPAs in the registered PoA, without VVB compliance check (THIS OPTION IS NOT CAPTURED IN THE TABLE ABOVE)

a. If at least one VPA/CPA of the registered PoA has completed successful performance certification, and

b. The VPA/CPA that has completed performance certification and the VPAs/CPAs that are included by CME without VVB compliance check shall,

- involve same technology/measure and apply same methodology in case of single technology POA

- involve same technologies/measures and apply same methodology(ies) combination in case of multi technology PoA

Refer to VPA/CPA INCLUSION REQUIREMENTS (RU 2020 P&R - PAR V1.2) for further details on applicability conditions and requirements. This option doesn’t involve additional fee levied by SustainCERT as mentioned in option 2 above.

POA ELIGIBILITY

3.1 | Is the PoA eligible project type under Gold Standard for the Global Goals?

☐ Yes

☐ No Requirement: The transitioning PoA shall be one of the eligible project types for issuance of Gold Standard VERs (Ref: GHG Product Requirements).

Guidelines: Typical eligible PoA types are Renewable Energy Supply, End-Use Energy Efficiency Improvement, Waste Handling & Disposal, Land Use and Forests.

- RE projects shall refer to Renewable Energy Activity Requirements for eligibility check.

- RE projects for example - · Hydropower · biomass resources · landfill gas and biogas from agro- processing, wastewater and other residues · Waste Heat/Gas recovery · Fossil co-generation · Waste incineration and gasification · Waste handling and disposal are required to demonstrate compliance with the specific eligibility requirements. Refer to Annex – A of Renewable Energy Activity Requirements for further details.

-

Community Services Activities projects for example - Hydropower · biomass resources · landfill gas and biogas from agro-processing, wastewater and other residues · Waste Heat/Gas recovery

· Fossil co-generation · Waste incineration and gasification · Waste handling and disposal · Relighting · End-use fossil switching are required to demonstrate compliance with the specific eligibility requirements. Refer to Annex – A of Community Services Activity Requirements for further details.

COMPLIANCE WITH RELEVANT ACTIVITY REQUIREMENTS

1.4 | Does the PoA conform to the relevant Activity Requirements (CSA/RE)? ☐ Yes

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☐ No 1.5 | Does any specific eligibility criteria/requirement stipulated in Annex A of

CSA/RE requirements apply to the PoA?

☐ Yes

☐ No 1.6 | Does specific eligibility criteria/requirement stipulated in Annex A of

CSA/RE requirements that apply to the PoA, lead to any change in the registered PoA- DD? If Yes, please provide a full explanation in section A.1.3. below.

☐ Yes

☐ No

Requirement:

PoA shall conform to the relevant Activity Requirements and Gold Standard Approved Methodologies, including eligible CDM Methodologies.

RE rule update / RE PoA rule update:

Grid connected Renewable Energy activities seeking to transition from another carbon crediting scheme to GS4GG or labelling of emission reductions under GS4GG are exempted from eligibility requirements listed in para 2.1.3 of the RE Activity Requirements. This exemption is only allowed to CPA that started the first crediting period with the original carbon crediting scheme from 01/01/2016 or later but before 24/01/2020. (Ref: Section 2.1.1 and 2.1.2 of RU 2020 AR –RE V1.2)

Specific Renewable Energy Activity requirements (refer to Annex A): Hydropower, biomass resources, landfill gas and biogas from agro-processing, wastewater and other residues, Waste Heat/Gas recovery, Fossil co-generation, Waste incineration and gasification, Waste handling and disposal

Specific Community Service Activity requirements (refer to Annex A): Hydropower, biomass resources, landfill gas and biogas from agro-processing, wastewater and other residues, Waste Heat/Gas recovery, Fossil co-generation, Waste incineration and gasification, Waste handling and disposal, Relighting, End- use fossil switching

APPLICABILITY OF THE METHODOLOGY/TOOL VERSION 5.1 | Does the PoA apply eligible GS methodology(ies)? Refer to list of the eligible

methodologies here.

Yes

☐ No 5.2 | Does the PoA apply the version of the methodology and applicable tools

applied for CDM/other standard registration or renewal?

☐ Yes

☐ No 5.3 | Does the PoA also apply the latest version of the methodology and

applicable tools available at the time of first submission of this form?

If Yes, please provide a full explanation in section B.2 below. And note that the PoA cannot opt for option 2 mentioned transition approval procedure.

☐ Yes

☐ No

Requirement: (Ref: Annex B of GHG Product Requirements) Transition PoA shall

a. conform to the relevant Activity Requirements and Gold Standard Approved Methodologies, including eligible CDM Methodologies.

b. also meet the additional GS4GG methodology eligibility requirements, where applicable. Refer to CDM Methodologies for Gold Standard Eligibility Requirements.

Transition PoA shall apply the version of GS approved CDM methodology or methodology tool for transition to GS4GG as follows;

a. version applied at the time of registration/renewal of crediting period with other standard, as applicable, AND/OR

b. latest version available at the time submission of Transition request form for inclusion of new VPAs after transition to GS4GG.The Transition PoA may include the latest version of the methodology and applicable tool for inclusion of new VPA(s), at the time of first submission (preliminary review) or at any later stage of certification cycle, but before submitting the request for inclusion for new VPAs. In

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such cases, VVB shall validate the updated PoA and VPA documents as per applied version of the methodology and or methodology tool before or with the request for inclusion of new VPAs.

DEMONSTRATION OF ADDITIONALITY

6.1 | Are you aware that the transitioning PoA will be required to demonstrate Ongoing Financial Need as per the relevant GS rules and requirements available at the time of renewal? (Refer to para 4.1.51 – 4.1.53 of Principles

& Requirements.)

☐ Yes

☐ No

6.2 | Does PoA include conditions that would systematically demonstrate

additionality of VPAs/CPAs under the proposed PoA in the inclusion criteria of VPAs/CPAs in the PoA?

☐ Yes

☐ No

Requirement:

- The CDM PoA is not required to carry out additional assessment for demonstration of additionality over and above what has been done for registration/determination with the CDM unless the PoA falls into a category that is deemed non-additional in an applicable Gold Standard Activity

Requirement. In such cases the relevant Activity Requirement shall take precedence. Ref: Annex B GHG Product Requirements.

- Transition PoA/CPAs registered with standards other than CDM are required to undergo additionality revalidation to re-establish the validity of the underlying assumptions applied in the demonstration of additionality at the time of registration with the other standard.

- The PoA seeking combined transition and renewal with GS4GG are not required to demonstrate OFN at the time of transition but must demonstrate OFN at the time of Crediting Period renewal after transitioning to GS4GG.

SUSTAINABLE DEVELOPMENT ASSESSMENT

7.1 | Does the PoA positively contribute towards minimum three Sustainable Development Goals (SDGs) - SDG13 (mandatory) + two other SDGs?

☐ Yes

☐ No 7.2 | Have you identified the monitoring parameters linked with selected SDGs and

corresponding SDG targets?

For example – the monitoring parameter Amount of GHGs emissions avoided or sequestered is linked with SDG 13. Climate action, SDG target 13.2 Integrate climate change measures into national policies, strategies and planning.

Yes

☐ No

Fill section A.4

.

Requirement:

- The transitioning PoA shall demonstrate a clear, direct contribution to sustainable development, defined as making demonstrable, positive impacts on at least three Sustainable Development Goals (SDGs), one of which must be SDG 13 (Ref: Section 4.(c) of Principles and Requirements) - The CME shall conduct the Sustainable Development Goals (SDGs) impact assessment at the

CPA equivalent level.

- An exception can be granted, if convincing justifications validated by a VVB and approved by Gold Standard are provided as to why the SDG impact assessment shall be conducted at PoA level only. In such a case, the CME shall include SDG inclusion criteria in the PoA DD for

inclusion of CPAs in the PoA. The future CPAs shall only be included in the PoA if they are in line with SDG compliance criteria.

Guidelines:

Selected SDG impacts must not result from a one-off from design/construction/distribution/ start-up or

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You may refer to /use the SDG impact Tool (under consultation currently) to identify the relevant monitoring indicator, SDGs and corresponding SDG targets and design monitoring plan for identified indicators.

START DATE AND DURATION OF THE CREDITING PERIOD 8.1 | Has the start date of the transitioning PoA registered with other carbon

standard/certification scheme changed?

☐ Yes

☐ No 8.2 | Is the duration of the PoA (i.e. including period that has been claimed

under the host standard) less than/equal to the maximum PoA duration allowed under GS4GG PoA requirements?

☐ Yes

☐ No

Complete the section

C.2.2 Total length of crediting period below.

Requirement:

- Transition PoA duration shall not exceed 20 years or the crediting period of first CPA allowed as per GS4GG activity requirements plus 5 years, whichever is greater.

- Transition PoA start date is the crediting period start date of the earliest CPA included in the PoA that transitions to GS4GG.

For example, if a given PoA transitioning to GS4GG, was registered under Standard X and the crediting period date of earliest CPA transitions to GS4GG is 1/1/2016, the PoA period with GS4GG will be 01/01/2016 to 01/01/2036.

- All transition PoAs shall be renewed

every 5 years. The first crediting period renewal under GS4GG takes into account the crediting years that has already been completed with other standard. For example, if a PoA start date with standard X is 01/01/ 2019, the PoA shall renew its crediting period with GS4GG on or before 1st Jan 2024, irrespective of date of transition approval with GS4GG.

SAFEGUARDING PRINCIPLES ASSESSMENT

9.1 | Is Safeguarding Principles Assessment conducted at PoA level? ☐ Yes

☐ No 9.2 | If answer is yes for Q Error! Reference source not found.Error!

Reference source not found., does PoA-DD include conformity criteria based on identified risks with respect to the relevant safeguarding principles for each activity type included in the PoA?

☐ Yes

☐ No

9.3 | If answer is yes for Q Error! Reference source not found.Error!

Reference source not found., have the Mitigation Measures added to the Monitoring Plan (if required)?

☐ Yes

☐ No

Complete the section

E. Summary of Safeguarding Principles below, if applicable.

Requirement:

- The CME shall conduct the Safeguarding Principles Assessment as per the Safeguarding Principles & Requirements at the CPA equivalent level.

- An exception can be granted, if convincing justifications, validated by a VVB and approved by Gold Standard are provided as to why the Safeguarding Assessment shall be conducted at PoA level only. In such a case, the CME shall include Safeguarding Principles & Requirements conformity criteria in the PoA DD based on identified risks with respect to the relevant safeguarding principles. The PoA DD shall contain Safeguarding Principles & Requirements

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criteria per type of activity, defined at Programme level. The future VPAs/CPAs shall only be included in the PoA if they are in line with the conformity criteria.

Guidelines: The detailed Safeguarding Principles and Requirements checklist is available in Annex 1 of this document.

STAKEHOLDER CONSULTATION REQUIREMENTS

10.1 | Has the CME conducted a Stakeholder Consultation at PoA level?

The answer to Q 6.1 is “No”, if any of the questions below is answered as

“No”. The project should take the question(s) into account and address the gap when conducting supplementary stakeholder consultation to comply with GS4GG requirements.

Please answer the below question with regards to the stakeholder consultation conducted to comply with CDM/other standard requirements?

☐ Yes

☐ No

10.2 | Did you conduct the stakeholder consultation before the PoA start date?

☐ Yes

☐ No 10.3 | Did you discuss identified direct positive and negative impacts of the

CPA with stakeholders?

☐ Yes

☐ No 10.4 | Does the invited stakeholder covers all stakeholder groups (a to g)

listed in paragraph 3.1.1. of STAKEHOLDER CONSULTATION AND ENGAGEMENT REQUIREMENTS?

☐ Yes

☐ No

10.5 | Did the invitation methods solicit input from women and marginalised groups?

☐ Yes

☐ No 10.6 | Were the stakeholders invited at least 30 days before the stakeholder

meeting?

☐ Yes

☐ No 10.7 | Did a local language version of the non-technical summary with

information required as per paragraph 5.1.1. of STAKEHOLDER CONSULTATION AND ENGAGEMENT REQUIREMENTS, shared with stakeholders?

☐ Yes

☐ No

10.8 | Was a physical meeting conducted? ☐ Yes

☐ No 10.9 | Was a gender lens applied to assessing comments? (for example, if

only men provided comments on household device project, was this taken into consideration when assessing the relevance of the comment?)

☐ Yes

☐ No

10.10 | Were any serious, reasonable and proportional concerns raised and taken into account and satisfactorily addressed?

☐ Yes

☐ No 10.11 | Were any points that warrant ‘Mitigation measures’ marked as such

and monitoring plan has been designed and included in the PoA-DD?

☐ Yes

☐ No 10.12 | Is the mandatory Continuous Input / Grievance Expression Process

Book’s location clearly stated (and therefore usable)?

Yes

☐ No 10.13 | Does PoA-DD include a summary report of the comments received

from local stakeholders?

☐ Yes

☐ No

Complete the section

F. Summary of Local Stakeholder Consultation below.

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Guidelines: PoA that conducted a stakeholder consultation meeting to comply with CDM/other standard requirements, should conduct, at minimum,

- one round of consultation for identified gaps i.e., gaps due to differences in stakeholder consultation requirements of GS4GG and CDM/other standard. For instance, if original consultations only involve one physical meeting, CME should conduct a stakeholder feedback round covering all the identified gaps. The additional stakeholder consultations may involve a physical meeting or stakeholder feedback round, as necessary.

CDM PoAs that have carried out stakeholder consultation at PoA level may justify following the above approach while transitioning to GS4GG. Justification shall be provided in line with requirements for PoA level consultations in Programme of Activity Requirements. Such PoAs must be able to demonstrate and provide information on carrying out Safeguarding and Sustainable Development Assessment at PoA level. Please refer to para section 6 GS PoA

Requirements.

If COVID interim measures are applicable (currently till 30/06/2021), the physical meeting and

stakeholder feedback round may be postponed, and a draft SCR shall be mandatorily submitted to cover the consultation activities carried out till date.

CPA/VPA INCLUSION CRITERIA

11.1 | Are there any changes in eligibility criteria for inclusion criteria of a CPA/VPA with respect to methodology, stakeholder consultation,

Safeguarding principles and assessment, SDG assessment or any other aspect?

Yes

No If answer to Q 11.1 is yes, please include the details in Section B.3 in the PoA -DD section below.

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14

KEY PROJECT INFORMATION

This template has been revised to aid a consistent interpretation and to better support project developers submitting documentation for certification. Please read

the accompanying guide to understand how to complete this template accurately.

TEMPLATE GUIDE Key Project Information & PoA Design Document v.1.1 Please delete this blue text box upon completion

GS ID of Programme Title of Programme:

Start Date of POA

Date of Design Certification POA Period Start Date

Version number of the PoA-DD Completion date of the PoA-DD Coordinating/managing entity Project Participants and any communities involved

Host Country (ies)

Activity Requirements applied

☐ Community Services Activities

☐ Renewable Energy Activities

☐ Land Use and Forestry Activities/Risks &

Capacities

☐ N/A

Other Requirements applied Methodology (ies) applied and version number

Product Requirements applied

☐ GHG Emissions Reduction &

Sequestration

☐ Renewable Energy Label

☐ N/A

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15

SECTION A. General description of PoA

A.1. Purpose and general description of the PoA

>>

A.2. Physical/ Geographical boundary of the PoA

>>

A.3. Technologies/measures and eligibility under Gold Standard

>>

A.4. Target/Indicator for each of the minimum three SDGs targeted by the POA

>>

Sustainable Development Goals Targeted

Most relevant SDG Target

SDG Impact

Indicator (Proposed or SDG Indicator)

13 Climate Action (mandatory)

A.5. Coordinating/managing entity

>>

A.6. Funding sources of PoA

>>

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16

SECTION B. MANAGEMENT SYSTEM AND INCLUSION CRITERIA

B.1. Management System

>>

B.2. Application of methodologies

>>

B.2.1. Multiple technologies/measures

>>

B.3. Eligibility criteria for inclusion of a VPA in the PoA No. Eligibility Criterion Description/

Required condition

Means of

Verification/Supporting evidence

for inclusion 1

2 3

SECTION C. DEMONSTRATION OF ADDITIONALITY

>>

SECTION D. DURATION OF POA

D.1. Date of first submission of PoA to Gold Standard

>>

D.2. Duration of the PoA

>>

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17

SECTION E. SAFEGUARDING PRINCIPLES ASSESSMENT

E.1. Justification for Safeguarding Principles Assessment at PoA level

>>

E.2. Assessment of safeguarding principles, if undertaken at PoA level

>>

SECTION F. OUTCOME OF STAKEHOLDER CONSULTATIONS

F.1. Justification for stakeholder consultation at PoA Level only

>>

F.2. Summary of stakeholder mitigation measures at POA Level

>>

F.3. Final Continuous Input / Grievance Mechanism at POA Level

>>

Method Include all details of Chosen Method (s) so that they may be understood and, where relevant, used by readers.

Continuous Input / Grievance Expression Process Book (mandatory)

GS Contact (mandatory) [email protected]

Other

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APPENDIX 1 - CONTACT INFORMATION OF COORDINATING/MANAGING ENTITY AND RESPONSIBLE PERSON(S)/ ENTITY(IES)

CME and/or responsible person/ entity

☐ CME

☐ Responsible person/ entity for application of the selected methodology(ies) and, where applicable, the selected standardized baseline(s) to the PoA

Organization Street/P.O. Box Building

City

State/Region Postcode Country Telephone E-mail Website

Contact person Title

Salutation

Last name

Middle name

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19

Revision History

Version Date Remarks

1.0 10 July 2017

Initial adoption

References

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